Healthcare Provider Details

I. General information

NPI: 1679415772
Provider Name (Legal Business Name): TAYLOR MARIE COCHRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 S LEMAY AVE
FORT COLLINS CO
80524-3929
US

IV. Provider business mailing address

1365 WELLER CT
TIMNATH CO
80547-4711
US

V. Phone/Fax

Practice location:
  • Phone: 970-495-7000
  • Fax:
Mailing address:
  • Phone: 970-224-2985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.1002360-CRNA
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number245992
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: